HomeMy WebLinkAboutMinor 7-14-20_5-8BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST rARYN
�. p Prevention Services Division
2101 H Street
i Bakersfield, CA 93301
Underground Storage Tank Program � Phone: 661-326-3979
Fax: e: 661-2-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address: z
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There were NO violations observed during this inspection.
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations.
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The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement may be initiated for any violations noted, and for those not corrected in a
timely manner. This report does not represent that there are no other violations at this facility. A
re -inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item VIOLATION
#
REQUIREMENT FOR CORRECTION OF
VIOLATION_
DATE FOR
CORRECTION
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Received by:
Phone: _
Print Name:
Date:
11 Date:
r.FRTIFIr:ATION OF RETURN TO COMPLIANCE
I certify that the violations noted above on this Notice to Comply/Summary of Violations have been
corrected. I have personally examined any documentation attached to the certification to establish that
the violations have been corrected.
Si nature:
Title:
Print Name:
Date:
,..,...., n.. ---r....., Yennw–R„Wine— Conv to be sent in after Return -to -Compliance Pink– Prevention Services Copy